Individual
JULIE OMAR MEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4123 DUTCHMANS LN, SUITE 601, LOUISVILLE, KY 40207
(502) 423-9595
(502) 719-0161
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
41326189
IL
367A00000X
Advanced Practice Midwife
0000640
CO
367A00000X
Advanced Practice Midwife
Primary
3009747
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000640
COLO APN-CNM LICENSE
CO
01
—
41326189
ILLINOIS RN LICENSE
IL
Enumeration date
07/31/2007
Last updated
06/27/2018
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